Manorcare Of Wilmette - Wilmette Nursing Home

General Information

UPDATE
Federal Provider Number
145932
Provider Name
MANORCARE OF WILMETTE
Provider Address
432 POPLAR DRIVE
WILMETTE, IL 60091
Provider Phone Number
(847) 216-5000
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
69
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE OF WILMETTE IL LLC
Date First Approved to Provide Medicare and Medicaid services
1997-04-15
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.19130
Reported LPN Staffing Hours per Resident per Day
0.60072
Reported RN Staffing Hours per Resident per Day
1.05942
Reported Licensed Staffing Hours per Resident per Day
1.66014
Reported Total Nurse Staffing Hours per Resident per Day
3.85144
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08696
Expected CNA Staffing Hours per Resident per Day
2.49589
Expected LPN Staffing Hours per Resident per Day
0.64791
Expected RN Staffing Hours per Resident per Day
1.02362
Expected Total Nurse Staffing Hours per Resident per Day
4.16742
Adjusted CNA Staffing Hours per Resident per Day
2.15426
Adjusted LPN Staffing Hours per Resident per Day
0.76955
Adjusted RN Staffing Hours per Resident per Day
0.77333
Adjusted Total Nurse Staffing Hours per Resident per Day
3.72527
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2015-04-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2014-05-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2013-03-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
56.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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